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HomeMy WebLinkAbout0044407-Electric (fan or blower) (`p�-Zi . CITY OF OSHKOSH N°- 44407 � PERMIT - APPLICATION AND RECORD NPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN � ZONING FLOOD PLAIN HEIGHT � --7 ADDRESS ��'�' � - / � PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit H�ATING CONTRACTOR .� Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures `� Switches � Receptacles �"� Circuits � : �ivn- /�Y�d�-�. PLUMBING CONTRACTOR _BT _WH _Disp —WSoft —CBasin _Lav _Sh _DW —DF —San. Sewer _WC _FDr —SP _Ur _Storm Sewer —Sink —LTub _Eject —SS —Water Other ' i FEES: Valuatio $ �O S '�� Permit Fee Paid $ ���a � Park Dedication $ ISSUED BY DatP � ��'�'1 S� FinaUO.P. In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE N � i ; -7 f PERMIT NO. ���� / . APPL. DATE , � ; � ELEC. CONTR. ` ; � �J � OWNER �/ " �1/ --- - - � � ADDRESS �Z�z-L�• � � � NATURE OF WORK ; � ELEC. SERV. NEW CHANGE TE1�. ` '1 DESC. TYPE VOLTS AMPS � � FI::' S ���5^1'S �_i RECEPT' S �� CIRC'S�� ` � APPLIANCES � '' a�--- �� ` S I�GNS ' INSP. ROUGH N SERVICE FZNAL ' EST. COST J S �0 ,�..o .'� PERMIT FEE �6•v J DATE PD. 6 9ir ` a REMARKS i :; ! �